FREDDY SOEWIN AW - Medical Doctor License in Illinois | # 125013731

FREDDY SOEWIN AW

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013731

License Status

EXPIRED

Business

N

First Name

FREDDY SOEWIN

Last Name

AW

Business Name

FREDDY SOEWIN AW

Original Issue Date

03/31/1982

Effective Date

03/31/1982

Expiration Date

03/23/1984

State

IL

Specialty/Qualifier

Therapeutic Radiology

Ever Disciplined

N

LastModifiedDate

09/22/2006